DR. MARK ENSIO BAKER (NPI# 1184798811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184798811 |
Entity Type | Individual |
Full Name | DR. MARK ENSIO BAKER |
Credential | D.D.S. |
Practice Address |
165 N 14th Ave Pocatello ID 83201-4146 |
Mailing Address |
Po Box 6033 165 N. 14th Pocatello ID 83205-6033 |
Practice Telephone | 2082322807 |
Practice Fax Number | 2082328118 |
Mailing Telephone | 2082322807 |
Mailing Fax Number | 2082328118 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D3016 | ID | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | RAILROAD | 000010010306 | 01 |
ID | BLUE CROSS | 60806 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477178291 | Mark Jon Baker | Occupational Therapy Assistant | 1 San Bruno Ave Unit G, Brisbane, CA 94005-1505 | 2020-06-09 |
1366864050 | Mark Baker | Nurse Practitioner | 332 Glenolden Ct, Cary, NC 27513-3287 | 2014-01-14 |
1295053114 | Mark David Baker | Psychiatry & Neurology | Neurology 1161 21st Ave South A 1106a Mcn, Nashville, TN 37232-2551 | 2010-05-17 |
1528239506 | Mark Baker | Psychologist | 650 Sierra Madre Villa, La Vie Psychology Group, Suite 110, Pasadena, CA 91107 | 2008-03-18 |
1124182282 | Mark Baker | Optometrist | 7600 Kingston Pike Ste 1110-a, Knoxville, TN 37919-5603 | 2006-12-21 |
1417011016 | Mark Lee Baker | Chiropractor | 610 N Main St # 5a, Clearfield, UT 84015-3200 | 2006-12-20 |
1568558112 | Mark C. Baker | Dentist | Thirty North Endodontics, 30 N. Michigan Avenue, #1320, Chicago, IL 60602 | 2006-10-04 |
1619088804 | Mark William Baker | Chiropractor | 2732n Lincoln Ave, Chicago, IL 60614-7431 | 2006-08-31 |
1871536151 | Mark A Baker | Radiology | 6957 W Plano Pkwy Ste 1100, Plano, TX 75093-1621 | 2006-06-14 |
1750382925 | Mark Allen Baker | Physical Therapist | 1335 W Cypress Ave, Suite 100, San Dimas, CA 91773-3516 | 2005-08-09 |
Street Address |
165 N 14TH AVE |
City | POCATELLO |
State | ID |
Zip Code | 83201-4146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649453275 | Facial & Oral Surgery Associates, Inc. | Dentist | 165 N 14th Ave, Pocatello, ID 83201-4146 | 2007-12-05 |
1154495802 | Brent D Lee | Dentist | 165 N 14th Ave, Pocatello, ID 83201-4146 | 2006-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
Find all providers in zip 83201 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649453275 | Facial & Oral Surgery Associates, Inc. | Dentist | 165 N 14th Ave, Pocatello, ID 83201-4146 | 2007-12-05 |
1154495802 | Brent D Lee | Dentist | 165 N 14th Ave, Pocatello, ID 83201-4146 | 2006-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710364427 | Gates Dentistry, Pllc | Dentist | 2165 N. Merritt Creek Loop, Coeur D Alene, ID 83814 | 2015-05-01 |
1124433743 | Arman Haghighi | Dentist | 403 S 11th St Ste 300, Boise, ID 83702-6968 | 2014-06-23 |
1003242769 | Dewayne Laverne Briscoe | Dentist | 404 Fairway Loop, Sun Valley, ID 83353 | 2013-09-25 |
1013274661 | Treasure Valley Oral and Facial Surgery Pllc | Dentist | 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 | 2012-04-20 |
1487910733 | Timothy Tracy O'brien | Dentist | 1613 12th Ave Rd Ste A, Nampa, ID 83686-6183 | 2012-04-11 |
1023398716 | Coeur D' Alene Oral Surgery | Dentist | 1027 E Sherman Ave, Coeur D Alene, ID 83814-4152 | 2011-08-25 |
1861645202 | Michael Verlyn Dabell | Dentist | 1550 N Crestmont Dr Ste G, Meridian, ID 83642-2177 | 2008-10-29 |
1295993145 | Stephen W Holm | Dentist | 3326 4th St Ste 2, Lewiston, ID 83501-4455 | 2008-05-28 |
1376689646 | Timothy Ted Hopkins | Dentist | 590 Falls Ave, Twin Falls, ID 83301-3314 | 2007-01-30 |
1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.